NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
Correct Answer: C
Rationale: Acute leukemia causes bone marrow suppression, leading to anemia (pallor) and thrombocytopenia (bleeding), which are critical to monitor.
Question 2 of 5
A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:
Correct Answer: D
Rationale: Trendelenburg sign is associated with congenital hip dysplasia, where the pelvis tilts downward on the unaffected side when the child stands on the affected leg, indicating hip instability.
Question 3 of 5
The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
Correct Answer: C
Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.
Question 4 of 5
The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?
Correct Answer: D
Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.
Question 5 of 5
Place the steps for an abdominal assessment in the correct order.
Order the Items
Source Container
Correct Answer: C,A,D,B
Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).